[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-113-2-產兒科護理學-038","nurse-113-2-maternal-pediatric-038",113,2,38,"為病童執行抽吸（suction）技術時，下列護理處置何者最適當？",{"A":14,"B":15,"C":16,"D":17},"新生兒宜先抽鼻腔再抽口腔","抽吸前將生理食鹽水滴入氣管內管","嬰幼兒抽痰壓力應在 110～120 mmHg","早產兒抽吸時間宜在 6～8 秒","D",null,[],"本題考點在於病童抽吸（抽痰）技術的安全參數。早產兒單次抽吸時間宜短，以 6–8 秒（部分教材建議 ≤5–10 秒）為限，避免長時間抽吸造成缺氧與心搏過緩，故 D 較適當。A 錯，抽吸順序應「先抽口腔再抽鼻腔」（或先清呼吸道再處理），且新生兒抽吸若刺激鼻腔可能誘發喉痙攣與迷走反射，一般原則先口後鼻；此選項順序錯誤。B 錯，常規不建議抽吸前將生理食鹽水滴入氣管內管（可能增加感染與低血氧），已非現行標準做法。C 錯，嬰幼兒抽痰負壓應較低，約 60–100 mmHg（嬰兒約 60–80、幼兒約 80–100 mmHg），110–120 mmHg 過高會損傷黏膜，該範圍較接近成人。本題須掌握小兒抽吸的時間與負壓上限均應「比成人低」以保護黏膜、避免缺氧。","小兒抽吸安全參數速記：抽吸負壓—新生兒／嬰兒約 60–80 mmHg、幼兒 80–100 mmHg、兒童 100–120 mmHg、成人 100–150 mmHg，越小負壓越低。單次抽吸時間—嬰幼兒與早產兒 ≤5–10 秒，避免持續缺氧與迷走神經刺激引起的心搏過緩。抽吸前後給予純氧預充氧、監測血氧與心跳。順序—口鼻分泌物先清口再清鼻（避免刺激鼻腔誘發喘息吸入）。常規滴入生理食鹽水已不建議，因證據顯示無助排痰且增加感染與去飽和。記憶法：小孩抽痰「壓力小、時間短、先口後鼻、不亂灌鹽水」。",[24,26,29,31],{"term":25,"count":10},"抽吸順序先口後鼻",{"term":27,"count":28},"小兒抽吸負壓參數",1,{"term":30,"count":28},"早產兒抽吸時間",{"term":32,"count":28},"生理食鹽水滴入爭議",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-039","有關細菌性肺炎（bacterial pneumonia）敘述，下列何者正確？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-maternal-pediatric-035","依據皮亞傑（Piaget）的認知發展理論，有關3〜5歲學齡前期兒童的死亡概念，下列敘述何者正確？",35,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-029","小華，3 歲，住院期間常常鬧脾氣，有關設計治療性遊戲降低其住院反應，下列敘述何者最適當？",29,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-maternal-pediatric-077","小華，7 歲，搭乘母親的摩托車上學途中，被轎車撞傷，頭部嚴重撞傷，轉入兒科加護病房，現昏迷指數 3 分，給予疼痛刺激時，手臂和腳均呈僵直和內轉的姿勢，有關這些症狀及受傷部位的描述，下列何者正確？",77,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-041","下列何者是丹佛嬰幼兒發展篩檢測驗 II ( DDST II ) 的評估項目之一？",41,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-075","小鋼，7 歲，罹患威廉氏腫瘤（Wilms tumor）第三期，即將接受腎臟切除術。下列敘述何者正確？",75,108,"2026-09-04",1788510755641]